1|Page
NR 566 Final Exam Version 1 Newest Actual Exam
With Complete Questions And Correct Detailed
Answers||Verified Exam!! (Verified Answers) |Already
Graded A+||Newest Exam!!!
How does carbamazepine impact oral contraceptives and
what symptoms may be associated with that? - Answers-
accelerated OC medication and reducing OC EFFECT
how might taking carbamazepine with oral contraceptives
affect which oral contraceptive you prescribe - Answers-
Increase the estrogen dosage of the OC
Combine the OC with a second from a birth control
Switch to an alternation form of birth control
Benefits of Etonogestrel subdermal implant [Nexplanon] -
Answers-it is one of the most effective forms of
contraception, long term option is 5 years, reversible by
removing rod
can take with women with a hx of thrombosis
Papaverine plus phentolamine (for ED).
,2|Page
Patient education - Answers-Do not inject more than once
in a 24 hours period, notify provide if erection duration and
efficacy, consult MD before taking new medication, seek
medical attention right away if erection is >3 hours
Migraines.
What is abortive therapy and when is it used? - Answers-
Abortive medications stop a migraine when pt feels one
coming or once it has begun.
NSAIDS and opioid and migraine-specific meds (Triptans
and Ergot alkaloids)
used at 1st sign of attack
First-line treatment for migraine prevention - Answers-
Metoprolol/propranolol (Beta-blockers ) are often used as
preventive therapy
o First-line treatment for acute, mild to moderate migraine
without nausea or vomiting - Answers-NASID: Naproxen
and ASP
Migraines.
, 3|Page
How to know someone would be appropriate for
preventative therapy - Answers-Patients who have
frequent attacks 3 or more, severe attacks, or attacks that
do not respond adequately to abortive therapy
o Examples of opioid analgesics reserved for severe
migraines that don't respond to first-line medications -
Answers-Butorphanol nasal spray
use one spray each nostril every 60 minutes PRN
Migraines.
Triptans.
Know mechanism of action for sumatriptan - Answers-
Suppresses the release of CGRP from trigeminal neurons,
Which leads to vasoconstriction and decreased
perivascular inflammation to relieve migraine pain
contraindications for triptans - Answers-History of ischemic
heart disease, uncontrolled hypertension, cerebrovascular
disease, pregnancy, basilar or hemiplegic migraine; use
within 24 hours of an ergot derivative
NR 566 Final Exam Version 1 Newest Actual Exam
With Complete Questions And Correct Detailed
Answers||Verified Exam!! (Verified Answers) |Already
Graded A+||Newest Exam!!!
How does carbamazepine impact oral contraceptives and
what symptoms may be associated with that? - Answers-
accelerated OC medication and reducing OC EFFECT
how might taking carbamazepine with oral contraceptives
affect which oral contraceptive you prescribe - Answers-
Increase the estrogen dosage of the OC
Combine the OC with a second from a birth control
Switch to an alternation form of birth control
Benefits of Etonogestrel subdermal implant [Nexplanon] -
Answers-it is one of the most effective forms of
contraception, long term option is 5 years, reversible by
removing rod
can take with women with a hx of thrombosis
Papaverine plus phentolamine (for ED).
,2|Page
Patient education - Answers-Do not inject more than once
in a 24 hours period, notify provide if erection duration and
efficacy, consult MD before taking new medication, seek
medical attention right away if erection is >3 hours
Migraines.
What is abortive therapy and when is it used? - Answers-
Abortive medications stop a migraine when pt feels one
coming or once it has begun.
NSAIDS and opioid and migraine-specific meds (Triptans
and Ergot alkaloids)
used at 1st sign of attack
First-line treatment for migraine prevention - Answers-
Metoprolol/propranolol (Beta-blockers ) are often used as
preventive therapy
o First-line treatment for acute, mild to moderate migraine
without nausea or vomiting - Answers-NASID: Naproxen
and ASP
Migraines.
, 3|Page
How to know someone would be appropriate for
preventative therapy - Answers-Patients who have
frequent attacks 3 or more, severe attacks, or attacks that
do not respond adequately to abortive therapy
o Examples of opioid analgesics reserved for severe
migraines that don't respond to first-line medications -
Answers-Butorphanol nasal spray
use one spray each nostril every 60 minutes PRN
Migraines.
Triptans.
Know mechanism of action for sumatriptan - Answers-
Suppresses the release of CGRP from trigeminal neurons,
Which leads to vasoconstriction and decreased
perivascular inflammation to relieve migraine pain
contraindications for triptans - Answers-History of ischemic
heart disease, uncontrolled hypertension, cerebrovascular
disease, pregnancy, basilar or hemiplegic migraine; use
within 24 hours of an ergot derivative
